| Dr Kristin H Lewis, MD | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 607-7339 | |
| Not Available |
| Full Name | Dr Kristin H Lewis |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 1412 Milstead Ave Ne, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881676245 | NPI | - | NPPES |
| 000892691A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 37599 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Cartersville Medical Center | Cartersville, GA | Hospital |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology Services Pc | 3577454024 | 54 |
| Summit Imaging Services Llc | 9436597945 | 39 |
| Entity Name | Summit Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174572374 PECOS PAC ID: 3577454024 Enrollment ID: O20040323001388 |
| Entity Name | Diagnostic Imaging Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366424947 PECOS PAC ID: 8123012366 Enrollment ID: O20040412000946 |
| Entity Name | Tanner Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1154820876 PECOS PAC ID: 8325475056 Enrollment ID: O20200219000803 |
| Entity Name | Summit Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134984982 PECOS PAC ID: 9436597945 Enrollment ID: O20240403001695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristin H Lewis, MD Po Box 200096, Cartersville, GA 30120-9002 Ph: (770) 607-7339 | Dr Kristin H Lewis, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 607-7339 |
Dr. Clifford N Grossman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Michelle A Ross, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Dr. Bradley Lloyd Fricke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-607-7339 Fax: 770-607-0789 | |
Suzanne Patrice Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-2012 Fax: 770-922-8370 | |
Dr. Ratna Sajja, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-2012 Fax: 770-922-8370 | |
Richard Glen Stiles, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 Fax: 678-905-7053 | |
Mark Otto Bernardy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1031 Jimson Dr Se, Conyers, GA 30013 Phone: 800-879-6274 Fax: 678-342-2547 |